OB Exam 2 Practice Questions with Correct Answers

The nurse is preforming an assessment on a client who is at 38 weeks gestation and notes that the fetal heart rate is 174 beats/ min. On the basis of this finding, what is the PRIORITY nursing action? A) Document the finding B) Check the mothers heart rate C) Notify the HCP D) Tell the client the fetal HR is normal Correct Answer C A client arrives to the clinic for the first prenatal assessment. She tells the nurse that the first day of her menstrual period was October 19, 2014. Using Nageles Rule, which expected date of delivery should the nurse document in the client's chart? A) July 12, 2014 B) July 26, 2015 C) August 12, 2015 D) August 26, 2015 Correct Answer B The nurse has preferred a non stress test on a pregnant client and is reviewing the fetal monitor strip. The nurse interprets the test as reactive. How should the nurse document the finding? A) Normal B) Abnormal C) The need for further evaluation D) That findings were difficult to interperet Correct Answer A The home care nurse visits a pregnant client who has had a diagnosis of mild preeclampsia. Which assessment finding indicates a worsening of the preeclampsia and the need to notify the HCP? A) Urinary Output has increased B) Dependent edema has resolved C) Blood pressure reading is at the prenatal baseline D) The client complains of a headache and blurred vision Correct Answer D The nurse is assessing a pregnant client with type 1 diabetes mellitus about her understanding regarding changing insulin needs during pregnancy. The nurse determines that FURTHER TEACHING IS NEEDED if the client makes which statement? A) "I will need to increase my insulin dosage during the first 3 months of pregnancy." B) "My insulin dose will likely need to be increased during the second and third trimesters."